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National question: Can a family caregiver get paid? Official programs decide eligibility.

North Carolina CAP/DA Waiver Consumer Directed Services

North Carolina CAP/DA is a Medicaid HCBS 1915(c) waiver program for disabled adults who need institutional level of care. The waiver includes consumer directed services, personal assistance, financial management, respite, equipment/modification/technology, and related home and community services.

North Carolina CAP/DA is a Medicaid HCBS 1915(c) waiver alternative to institutionalization. Approved services include personal assistance, financial management, consumer directed services, respite, equipment/modification/technology, meals, personal emergency response, and other supports. Consumer direction lets a beneficiary or representative act as employer of record, freely choose who provides care, recruit/hire/supervise/fire the personal assistant, set pay within program rules, and assign tasks based on medical and functional needs.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Care recipient must have a qualifying disability
  • Relationship: parent, child, sibling, grandparent, other relative, non relative

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in North Carolina? — Residency is usually the first thing a program checks.
  • Does your relationship to the person — parent, child, sibling, grandparent, other relative, or non relative — count for this program?
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • exact income limits by household size
  • a direct application link

Services

North Carolina CAP/DA is a Medicaid HCBS 1915(c) waiver alternative to institutionalization. Approved services include personal assistance, financial management, consumer directed services, respite, equipment/modification/technology, meals, personal emergency response, and other supports. Consumer direction lets a beneficiary or representative act as employer of record, freely choose who provides care, recruit/hire/supervise/fire the personal assistant, set pay within program rules, and assign tasks based on medical and functional needs.

How to apply

  • Contact a local CAP/DA case management entity in the county of residence to request a referral, or call NC LIFTSS at 833-522-5429.